Organization · Type 2 NPI

Charles R Stevens, M.d., Apc

Non-Pharmacy Dispensing Site · El Centro, CA

NPI number 1780967455 Active

Practice location

1665 S Imperial Ave, Suite D
El Centro, CA 92243-4253

Mailing address

1665 S Imperial Ave Ste D
El Centro, CA 92243-4247

Specialties and licenses

TaxonomyCodeLicense
Non-Pharmacy Dispensing Site Primary 332900000XNone listed

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

5 other providers at this address

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About NPI 1780967455

Charles R Stevens, M.d., Apc's National Provider Identifier is 1780967455, issued on Sep 20, 2011. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in El Centro, CA. The record was last updated on Feb 22, 2023.